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1、中华健康管理学杂志2008年2月第2卷第]期ChinJHealthManage,February2008,Vol.2,No.1·论著健康干预对糖尿病前期自创性危险因素的影响孙田杰金莹台文霞【摘要」目的评价自创性健康危险因素的行为干预与管理在糖尿病前期人群预防或延缓糖尿病发生中的作用。方法将空腹血糖受损及糖耐量减低的118例糖尿病前期体检者随机分组,其中实验组58例,对照组60例。实验组提供健康干预,包括糖尿病基本知识讲座,定期复查及检查的必要性及意义,合理的营养与膳食,减肥,体力活动及运动等方法。对照组仅告知空腹血糖受损或糖-耐量减低。比较6个月、12
2、个月后,实验组与对照组糖尿病前期转归及显性糖尿病发生的情况。结果实施干预措施6个月后,实验组与对照组空腹血糖受损恢复正常的人数差异无统计学意义(xZ二0.04尹=0.84),糖耐量异常恢复正常的人数差异无统计学意义(X2=0.79尸=0.12),转为显性糖尿病的人数差异也无统计学意义(扩=0.96,P=0.33);实施干预措施12个月后,两组空腹血糖受损恢复正常及糖耐量异常恢复正常的人数差异都有统计学意义(扩二13.34,22.58;均P<0.01),但转为显性糖尿病的人数差异无统计学意义(扩=2.83,P=0.09)。结论对糖尿病前期人群进行自创性危
3、险因素管理能预防或延缓糖尿病发生,提高生活质量。【关键词】糖尿病前期;危险因素;早期干预(教育)TheeffectofhealthinterventiontochangeableriskfactorsinpersonswithdiabetesprophaseSUNTianyie,JINYing,TAIWen-xiaDepartmentofNursing,theFirstAffiliatedHospitalofChinaMedicalUniversity,Shenyang110001,ChinaCorrespondingauthor;SUNTian一,E
4、mail;sun_tj@21cncom[Abstract1ObjectiveToevaluatethevalueofhealthinterventiontochangeableriskfactorsinpersonswithdiabetesprophase.MethodsOnehundredandeighteenpersonsindiabetesprophaseweredividedintotwogroupsrandomly.For58personsenrolledintheexperimentalgroup,healthinterventioninc
5、ludinglecturesofdiabetesbasicknowledge,introducingthenecessityandsignificanceofperiodicalcheckupandexamination,suitabledietaryandnutrition,weightcontrol,physicalexerciseandmovementwasperformed.For60personsenrolledinthecontrolgroup,onlythediagnosisofdiabetesprophasewasinformed.Th
6、eincidenceofnormalizationofbloodglucoseandprogressingtodominantdiabeteswascomparedbetweentheexperimentalgroupandthecontrolgroupafterfollow-upfor6monthsand12months.ResultsAfter6monthsofintervention,thedifferenceofthenumberofpersonswasnotsignificantfornormalizationofbloodglucosebe
7、tweenexperimentalgroupandcontrolgroup(X2=0.04and0.79,P=0.84and0.12forpersonswithIFGandIGTrespectively),andwasalsonotsignificantforprogressingtodominantdiabetesbetweenthetwogroups(xX2=0.96,P二0.33).After12monthsofintervention,thedifferenceofthenumberofpersonswassignificantfornorma
8、lizationofbloodglucosebetweenexperimentalgroupa